Browsing by Author "Haider, Shams Shabab"

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Association between height and hypertension in the adult Nepalese population: Findings from a nationally representative survey
(Wiley, 11/7/2019) Gupta, Rajat Das; Haider, Shams Shabab; Hashan, Mohammad Rashidul; Rahman, Muhammad Aziz; Sarker, Malabika
Background and aims The burden of hypertension is increasing in Nepal. Different studies have evaluated the relationship between height and blood pressure in different regions, with mixed results. The relationship between height and hypertension has not yet been explored in the Nepalese context. Given this knowledge gap, this study aims to determine the relationship between height and hypertension among Nepalese adults (aged ≥18 years). Methods This study utilized the dataset from the Nepal Demographic and Health Survey (NDHS) 2016. Hypertension was defined as systolic blood pressure ≥ 140 mmHg and/or a diastolic blood pressure ≥ 90 mmHg. Height, measured in centimeters (cm), was analyzed as a continuous variable. Based on previous evidence, the following covariates were considered: age, sex, presence of overweight or obesity, educational status, household wealth status, and place, province, and ecological zone of residence. Multilevel multivariable logistic regression was done to evaluate the association between height and hypertension. Both crude odds ratio (COR) and adjusted odds ratio (AOR) are reported, along with a 95% confidence interval (CI). Sample weight of NDHS was adjusted during analysis. Results Among 13 393 weighted individuals over the age of 18 years, the prevalence of hypertension in Nepal was found to be 21.1% (95% CI, 19.9%‐22.4%). In the final multivariable model, after adjusting for relevant covariates, it was found that height was inversely associated with hypertension. For a Nepalese adult, the odds of hypertension decreased by 10% with each 10‐cm increase in height (AOR 0.9; 95% CI 0.8‐0.9; P = 0.003). Conclusion Awareness should be raised among people with low stature for prevention of hypertension. Longitudinal studies are recommended to include genetic and social/environmental determinants of stature in the analyses.
Association between the frequency of television watching and overweight and obesity among women of reproductive age in Nepal: Analysis of data from the Nepal Demographic and Health Survey 2016
(PLOS ONE, 2/10/2020) Gupta, Rajat Das; Haider, Shams Shabab; Hashan, Mohammad Rashidul; Hasan, Mehedi; Sutradhar, Ipsita; Sajal, Ibrahim Hossain; Joshi, Hemraj; Haider, Mohammad Rifat; Sarker, Malabika
Background The prevalence of overweight and obesity, particularly among women, is increasing in Nepal. Previous studies in the South Asia have found television watching to be a risk factor for overweight and obesity among women of reproductive age. However, this association had not been studied in the context of Nepal. This study aims to identify the association between frequency of television watching and overweight and obesity among Nepalese women of reproductive age. Methods This cross-sectional study utilized the Nepal Demographic and Health Survey 2016 (NDHS 2016) data. A total weighted sample of 6,031 women were included in the final analyses. The women were 15–49 years of age and were either not pregnant or had not delivered a child within the two months prior to the survey. Body mass index (BMI) was the primary outcome of this study, which was categorized using an Asia-specific cutoff value. Normal and/ or underweight was defined as a BMI <23.0 kg/m2 , overweight was defined as a BMI between 23.0 kg/m2 and <27.5 kg/m2 , and obesity was defined as a BMI �27.5 kg/m2 . Frequency of watching television was the main independent variable of this study, which was divided into the following three categories: not watching television at all, watching television PLOS ONE | https://doi.org/10.1371/journal.pone.0228862 February 10, 2020 1 / 13 a1111111111 a1111111111 a1111111111 a1111111111 a1111111111 OPEN ACCESS Citation: Das Gupta R, Haider SS, Hashan MR, Hasan M, Sutradhar I, Sajal IH, et al. (2020) Association between the frequency of television watching and overweight and obesity among women of reproductive age in Nepal: Analysis of data from the Nepal Demographic and Health Survey 2016. PLoS ONE 15(2): e0228862. https:// doi.org/10.1371/journal.pone.0228862 Editor: Cindy Gray, University of Glasgow, UNITED KINGDOM Received: July 20, 2019 Accepted: January 25, 2020 Published: February 10, 2020 Peer Review History: PLOS recognizes the benefits of transparency in the peer review process; therefore, we enable the publication of all of the content of peer review and author responses alongside final, published articles. The editorial history of this article is available here: https://doi.org/10.1371/journal.pone.0228862 Copyright: © 2020 Das Gupta et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: The dataset of NDHS 2016 is available at the Demographic and Health less than once a week, and watching television at least once a week. Multilevel ordered logistic regression was conducted to find the factors associated with overweight and obesity. A p-value <0.05 was considered significant in the final model. Results Around 35% of the participants were overweight or obese (overweight: 23.7% and obese: 11.6%). A majority of the study participants was aged between 15 and 24 years (36.5%), and resided in an urban area (63.2%), Province No. 3 (22.3%), and the Terai ecological region (49.5%). Around one-third (34.0%) of the participants received no formal education while an almost similar proportion (35.5%) completed secondary education. Approximately half of the study participants (50.6%) reported watching television at least once a week, whereas more than a quarter (28.7%) of them did not watch television at all. Women who watched television at least once a day had a higher prevalence of overweight and obesity than the other groups (p-value <0.0001). Women who watched television at least once a week were 1.3 times more likely to be overweight or obese in comparison to women who never watched television (Adjusted Odds Ratio (AOR): 1.3, 95% CI: 1.0–1.7; p-value <0.05). In the urban areas, women who watched television at least once a week were 40% more likely to be overweight or obese than those who did not watch television at all (AOR: 1.4, 95% CI: 1.1–1.7; p-value <0.01). No significant association between overweight and obesity and the frequency of viewing television was observed in the rural area. Conclusions Watching television at least once a week is associated with overweight and obesity in women of reproductive age living in the urban areas of Nepal. Public health promotion programs should raise awareness among women regarding harmful health consequences of sedentary lifestyle due to television watching.
Association of frequency of television watching with overweight and obesity among women of reproductive age in India: Evidence from a nationally representative study
(PLOS ONE, 8/29/2019) Gupta, Rajat Das; Haider, Shams Shabab; Sutradhar, Ipsita; Hashan, Mohammad Rashidul; Sajal, Ibrahim Hossain; Hasan, Mehedi; Haider, Mohammad Rifat; Sarker, Malabika
Background For women of reproductive age, overweight and obesity are an established risk factor for several medical complications. To address the increasing rate of obesity in India through public health awareness programs, the association between common behaviors and overweight and obesity needs to be investigated. This study aims to determine whether there is any association between the frequency of television watching and overweight and obesity among women of reproductive age (15–49 years) in India. Methods This is a cross-sectional study that utilized data from the National Family Health Survey (NFHS-4), which utilized a nationally representative sample from all 29 states and 7 union territories of India. The survey itself followed a two-staged stratified random sampling technique. The primary outcome of interest was overweight (23.0 kg/m2 to <27.5 kg/m2) and obesity (≥27.5 kg/m2), measured by using the Asian body mass index cut-off. The major explanatory variable was the frequency of television watching, measured in days per week. Sample weight of NFHS-4 was adjusted during the analysis. Multilevel ordered logistic regression was conducted to identify the factors associated with overweight and obesity. To show the strength of association, both the unadjusted Crude Odds Ratio (COR) and the Adjusted Odds Ratio (AOR) were reported with a 95% confidence interval (CI). A p-value<0.05 was considered statistically significant. Results The analysis included weighted data from 644,006 Indian women of reproductive age (15–49 years). Among the respondents, 33.5% were overweight or obese (BMI ≥23.0 kg/m2). The prevalence of overweight and obesity increased with age (p-value <0.0001) and almost half of the women aged 35–49 years were either overweight or obese (48.6%). The prevalence was significantly higher among those living in an urban area compared to a rural area (urban 46.5% vs. rural 26.5%; p-value <0.001). The prevalence of overweight and obesity increased with the frequency of watching television and was the highest among the individuals who reported watching television almost every day (p-value <0.0001). Women watching television almost every day had 24% (AOR: 1.24, 95% CI: 1.21–1.26; p-value <0.001) increased odds of being overweight and obese compared to their counterparts who never watched television. Conclusions This study found that the likelihood of being overweight and obese significantly increased with the frequency of watching television; likely due to physical inactivity during leisure time. Further studies should examine the physical activity and food habits of this target group. Public health promotion programs in India should raise awareness regarding the harmful effects of the sedentary lifestyle associated with watching television.
ChatGPT and Global Public Health: Applications, Challenges, Ethical Considerations and Mitigation Strategies
(Elsevier, 2023) Parray, Ateeb Ahmad; Inam, Zuhrat Mahfuza; Ramonfaur, Diego; Haider, Shams Shabab; Mistry, Sabuj Kanti; Pandya, Apurva Kumar
The advancement of deep learning and artificial intelligence has resulted in the development of state-of-the-art language models, such as ChatGPT. This technology can analyze large amounts of data, identify patterns, and assist in the analysis and understanding of risk factors for diseases. Despite its potential, the applications, challenges, and ethical considerations have not been yet fully explored in global health research. This paper examines the applications of ChatGPT in global health research, assesses the challenges in its use, and proposes mitigation strategies. Additionally, it describes the ethical considerations around the use of ChatGPT in global health research and suggests potential avenues for addressing these issues. This paper summarizes that it is crucial to understand the capabilities and limitations of this technology in order to fully realize its potential and ensure its responsible integration into global health research.
Factors associated with tobacco use among Nepalese men aged 15–49 years: Data from Nepal demographic and Health Survey 2016
(Elsevier, 2020-09) Gupta, Rajat Das; Jahan, Mahmuda; Hasan, Mehedi; Sutradhar, Ipsita; Sajal, Ibrahim Hossain; Haider, Shams Shabab; Joshi, Hemraj; Haider, Mohammad Rifat; Sarker, Malabika
Background Tobacco is one of the leading causes of premature death around the world. In Nepal, tobacco kills 15,000 people every year. Men are also the primary users of tobacco. This study aimed to discern the prevalence and associated factors of tobacco use among Nepalese men aged 15–49 years. Methods This was a cross-sectional study. This study used data from the Nepal Demographic and Health Survey 2016. A total of 4059 study participants aged 15–49 years were included in the final analysis. The primary outcome of interest in this study was ‘tobacco use’, which was further categorized into smoked and smokeless tobacco use. Multivariable logistic regression was performed to identify determinants of tobacco use, smoking, and smokeless tobacco use. Results The prevalence of overall tobacco, smoked tobacco, and smokeless tobacco use were 52.3% (95% CI: 50.0–54.6), 27.3% (95% CI: 24.5–30.3), and 40.2% (95% CI: 38.0–42.4), respectively. The prevalence of tobacco use was significantly higher among the elderly, manual workers, those of lower educational status, those of lower economic status, and residents of Province No. 2. In multivariable logistic regression analysis, older age, poor education, poor economic status, and residence in the Terai region were each found to be significantly associated with tobacco use. Conclusion As one out of every two Nepalese men is a tobacco consumer, pertinent public health programs need to increase advocacy against tobacco use among the mass population. Tobacco control programs should also target high-risk groups when designing interventions.
Gender differences in hypertension awareness, antihypertensive use and blood pressure control in Nepalese adults: Findings from a nationwide cross-sectional survey
(Cambridge University Press, 8/30/2019) Gupta, Rajat Das; Haider, Shams Shabab; Sutradhar, Ipsita; Hasan, Mehedi; Joshi, Hemraj; Haider, Mohammad Rifat; Sarker, Malabika
The objective of this cross-sectional study was to determine the gender differences in hypertension awareness, antihypertensive use and blood pressure (BP) control among the adult Nepalese population (≥18 years) using data from the nationally representative Nepal Demographic and Health Survey 2016. A weighted sample of 13,393 adults (5620 males and 7773 females) was included in the final analysis. After conducting descriptive analyses with the selective explanatory variable, multivariable logistic regression analysis was performed to assess the association between the outcome variable and the explanatory variables. The strength of the association was expressed in adjusted odds with 95% confidence intervals. A higher proportion of women had their BP checked (87.7% females vs 73.0% males, p<0.001) and were aware of their raised BP (43.9% females vs 37.1% males, p<0.001) compared with men. Although female hypertensive individuals had a higher prevalence of antihypertensive medication use than their male counterparts (50.1% females vs 47.5% males), a higher proportion of male hypertensive participants had their BP controlled (49.2% females vs 53.5% males). Women with the poorest wealth index had a lower prevalence of antihypertensive use than their male counterparts. The odds of having their own BP measured increased with age among men but decreased with age among women. The household wealth index was positively associated with the odds of BP measurement, awareness of own BP and antihypertensive use. This study revealed that although women had a higher prevalence of hypertension awareness and antihypertensive medication use, the practice did not translate into better BP control. Inequality in antihypertensive medication use was observed among the poorest wealth quintiles. Public health programmes in Nepal should focus on reducing these inequalities. Further research is needed to learn why females have poorer control of BP, despite having higher antihypertensive medication use.
Prevalence and associated factors of underweight, overweight and obesity among women of reproductive age group in the Maldives: Evidence from a nationally representative study
(PLOS ONE, 10/29/2020) Hashan, Mohammad Rashidul; Rabbi, Md Fazla; Haider, Shams Shabab; Gupta, Rajat Das
Background: Global epidemiological transition across various countries have documented the coexistence of undernutrition and overnutrition. South Asian countries are facing this public health hazard in remarkable manner. To enrich the evidence and relation with women’s health in the Maldives, this study was undertaken to examine the prevalence and associated factors of underweight, overweight and obesity among reproductive age women. Methods This study was conducted utilizing data from the Maldives Demographic and Health Survey 2016–17. After presenting descriptive analyses, multivariable logistic regression analysis method was used to examine the prevalence and associations between different nutritional status categories. These were grouped based on the WHO recommended cut-off value and relevant socio-demographic determinants among reproductive age women. Results A total weighted sample of 6,634 reproductive age Maldivian women (15–49 years) were included in the analysis. The overall prevalence of overweight and obesity was 63%, while the underweight prevalence was 10%. The younger age group (15–24 years) had a higher prevalence of underweight (26%). On the other hand, an overweight and obesity prevalence of 82.6% was observed among the older age group (35–49 years). Regression analysis showed that residents of the North and Central Provinces, those in the higher quintiles of wealth index, married women and those with parity of more than two children, were all significantly negatively correlated to being underweight. Increased age, being married or separated/divorced/widowed and having more than three children was found to have a significant positive association with overweight and obesity. Conclusions Maldives is facing nutritional transition and a major public health hazard demonstrated by the high burden of overweight and obesity and persistence of chronic problem of undernutrition. Surveillance of vulnerable individuals with identified socio-demographic factors and cost-effective interventions are highly recommended to address the persistent underweight status and the emerging problem of overweight/obesity.